Abstract Objective: To analyze of hospitalization rates, patient flow, cost burden from 2010 to 2015 in Gansu , exploring the causes of hospitalization costs rising quickly, finding NRCM’s problems, and providing Suggestions for policy optimization. Methods: Collecting data and annual reports about the NRCM operating status from NRCM management office and Huadong company in 2010 to 2015, analyzing the different in hospitalization rates, patient flow with Chi -square Test and analyzing hospital fees, reimbursement fees and reimbursement rate with descriptive analysis. Results: The hospitalization rates of NRCM from 6.37% to 11.85%（χ2=503005.45，P=0.000）,the flow of patients fastest growing at county medical institutions from 41.05% to 52.08%, township medical institutions personnel loss, from 37.88% to 25.30% , the patients of outside the county growth significantly, but the proportion only increased by 1.56%.(Overall χ2=103245.25，P=0.000). Hospitalization expenses grew rapidly in 2010-2015 and uneven distribution of medical institutions at all levels, and the average proportion of outside the county is 58%, the county level is 34.47% and township is 7.53%.The average reimbursement fees is proportional to the level of compensation, the average reimbursement fees of outside the county from 3051.42 yuan to 6217.40 yuan, the county level from 1486.09 to 2235.28 and the township from 611.42 to 875.86. The actual reimbursement rate is opposite to the level of compensation, the average compensation ratio of township, county, and outside is 79.25%, 66.30% and 79.25% respectively. The inpatient flow is unreasonable, the number and fees of reimbursement mainly flow to the county and outside the county , hospital admissions of grass-roots have tended to lose; The cost of outside the county growth rapidly and occupy a lot of compensation funds. Conclusion: The NRCM should curb excessive growth of medical treatment charge , improve the level of compensation, and guide reasonable flow when obtaining certain achievements.